• Seventeen patients, 4 of whom had osteoradionecrosis, underwent mandibular reconstruction with a revascularized scapular osteocutaneous flap. The mean length of revascularized scapular bone used was 10.4 cm. Nine of the 17 flaps healed uneventfully; however, previously irradiated patients had a higher incidence of postoperative complications. There was only 1 flap failure. We found the free revascularized scapular osteocutaneous flap to be reliable and ideal for the reconstruction of large composite defects of the oral cavity.
(Arch Otolaryngol Head Neck Surg. 1989;115:1334-1340)
Sullivan MJ, Baker SR, Crompton R, Smith-Wheelock M. Free Scapular Osteocutaneous Flap for Mandibular Reconstruction. Arch Otolaryngol Head Neck Surg. 1989;115(11):1334–1340. doi:10.1001/archotol.1989.01860350068017
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